Nurisha Shavon Jack, CNM
NPI #1306338363 in Fort Belvoir, Virginia
Provider Information
- NPI Number
- 1306338363
- Entity Type
- Individual
- Name
- Nurisha Shavon Jack, CNM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Advanced Practice Midwife
- Credential
- CNM
- Enumeration Date
- Jun 5, 2018
- Last Updated
- Nov 21, 2023
Practice Location
- Address
- 9300 DEWITT LOOP
- City
- Fort Belvoir
- State
- Virginia
- ZIP Code
- 22060-5285
- Phone
- (571) 231-3442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
| Midwife |
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